S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 059169 Cvhcare Holdings, Inc 5550 Topanga Canyon Blvd. Suite 170 Woodland Hills CA 9 (San Francisco) 03/21/2018 9WMT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
▼ 059173 Happy Hha, Inc. 650 W Duarte Rd, Suite 402 Arcadia CA 9 (San Francisco) 10/18/2022 5DEAC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0572 Plan of care Standard
G1010 Contents of clinical record Standard
G0412 Written notice of patient's rights Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 059182 Grapevine Home Health Services, Inc 462 Corona Mall Corona CA 9 (San Francisco) 08/12/2021 P2K911 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0480 Treatment or care Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0966 Assure patient needs are continually assessed Element
▼ 059182 Grapevine Home Health Services, Inc 462 Corona Mall Corona CA 9 (San Francisco) 06/13/2019 SSEB11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0512 Standard: Initial assessment visit. Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0604 Integrate all orders Element
▼ 059192 Reliant Home Healthcare Services 8880 Benson Avenue Unit 118 Montclair CA 9 (San Francisco) 07/31/2023 607FE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
▼ 059216 Sweetgrace Home Health Services, Llc 6101 Cherry Avenue Suite 108 Fontana CA 9 (San Francisco) 04/03/2025 65C2F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G1028 Protection of records Standard
G0438 Have a confidential clinical record Element
G0536 A review of all current medications Element
▼ 059216 Sweetgrace Home Health Services, Llc 6101 Cherry Avenue Suite 108 Fontana CA 9 (San Francisco) 03/11/2022 385FB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0416 OASIS privacy notice Element
G0438 Have a confidential clinical record Element
G0450 Access to auxiliary aids and language service Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0614 Visit schedule Element
G0726 Nursing services supervised by RN Element
▼ 059216 Sweetgrace Home Health Services, Llc 6101 Cherry Avenue Suite 108 Fontana CA 9 (San Francisco) 08/08/2019 FCKK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0406 Patient rights Condition
G0700 Skilled professional services Condition
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
G0374 Accuracy of encoded OASIS data Standard
G0428 Property and person treated with respect Element
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0952 Ensure that HHA employs qualified personnel Element
G1012 Required items in clinical record Element
▼ 059223 Beneficial Home Health Services, Inc 1901 E Lambert Rd Suite 203s La Habra CA 9 (San Francisco) 10/31/2023 61537-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0862 Laboratory services/CLIA waivers Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G0948 Responsible for all day-to-day operations Element
G1022 Discharge and transfer summaries Element
▼ 059227 Valley Medical Systems, Inc. 2511 West Shaw Avenue Suite 101 Fresno CA 9 (San Francisco) 05/12/2022 3874B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0466 Make efforts to resolve the problem(s) Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element